Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0269

Initial License Date:
02/27/2008

Current License Date:
02/27/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/27/2028

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1000 West Washington

City:
Jefferson

State:
Iowa

Zip:
50129-4701

Phone:
(515) 386-2555

Fax:
(515) 386-3179

URL:

Administrator/License #:
Tara Quirk /

Administrator Email:
tquirk@jeffersongardenlifestyles.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: